Can I Drink Alcohol Before Botox or Filler?
The short answer
Better not to, for about twenty-four hours beforehand, and the reason is bruising rather than anything dramatic.
Nothing terrible happens if you had a glass of wine last night. You'll just be somewhat more likely to walk out with marks you'd rather not have, and with filler in particular that can mean a visible week.
What alcohol actually does
Two things, both relevant.
It thins the blood somewhat, interfering with how platelets clump together to stop a small bleed. A needle going into tissue causes small bleeds; whether they become bruises depends partly on how quickly they stop.
It dilates blood vessels. Wider vessels near the surface are easier to catch and bleed more freely when they are.
Add those together and you get a higher chance of bruising at the injection points, plus a bit more swelling afterwards.
The practical timeline
Twenty-four hours before: the standard advice, and reasonable. Some practitioners say forty-eight for filler in the lips or under the eyes, where bruising shows most.
The day of: definitely not, including "just one to take the edge off." Beyond the bruising, you want to be clear-headed for consent, and you want to be able to give accurate answers about your medical history.
Afterwards: most practices advise twenty-four hours for the same reasons, plus the general instruction to avoid anything that raises blood flow to the face in the first day.
None of this is a hard rule handed down from a trial. It's sensible precaution built on a real mechanism.
The rest of the bruising list
Alcohol is one item among several, and treating it as the only one is a common mistake.
Ibuprofen and aspirin taken for pain, fish oil, high-dose vitamin E, ginkgo, ginseng, garlic and turmeric supplements all do something similar. A week off them, or five days at minimum, does more for your bruising odds than skipping one evening's wine.
The essential caveat: prescribed blood thinners and daily aspirin taken for your heart are not stopped for a cosmetic appointment. Tell your injector instead. They'll adjust technique, use a cannula where appropriate, and set your expectations about bruising. Nobody's face is worth a clot.
What to say to the practice
Tell them what you've taken and when, honestly. They're not going to lecture you, and they will adjust what they do.
If you've had a heavy weekend and your appointment is Monday, say so and ask whether to reschedule. For a first treatment, or for anything before an event, moving it is usually the better call.
If you're having filler in an area that bruises easily — lips especially — take the preparation more seriously than you would for a forehead treatment.
The other reason to arrive clear-headed
Bruising is the usual answer to this question, and there's a second one that gets less attention.
A consultation involves consent, and consent involves understanding what's being placed, where, in what quantity, and what the risks are. That conversation goes differently after a drink. So does your ability to say no to something that was added to the plan at the last minute, which is the moment when saying no matters most.
Practitioners notice this. Some will decline to treat someone who has obviously been drinking, and they're right to.
There's also the practical matter of your own account of yourself. You'll be asked about medications, supplements, previous treatments and allergies, and those answers need to be accurate rather than approximate.
What isn't true
That alcohol reduces how well a neuromodulator works. There's no good evidence for that; the concern is bruising, not efficacy.
That you need to abstain for a week. Unnecessary for this purpose.
That a single drink the night before means you must cancel. It doesn't. It slightly shifts the odds.
The condensed answer
Leave it for a day beforehand, longer if you're having lips or under-eyes done. Leave it for a day afterwards. Pay more attention to the supplements and the over-the-counter painkillers, which matter more. Never stop a prescribed medication for this. And plan the appointment for a week that can absorb a bruise.